ANGELA MARIE CLARK - Physician Assistant License in Wisconsin | # 085008289

ANGELA MARIE CLARK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008289

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

MARIE

Last Name

CLARK

Business Name

ANGELA MARIE CLARK

Original Issue Date

04/26/2021

Effective Date

02/03/2022

Expiration Date

03/01/2024

State

WI

Ever Disciplined

N

LastModifiedDate

02/05/2025